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General NPI Number Information
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NPI Number | 1376123695
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Entity Type | Individual
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Provider Name | ALYSSON KLEIN MD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 5880 RAND BLVD STE 200
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City | SARASOTA
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State | FL
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Zip | 34238-5118
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Country | US
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Telephone | 941-917-2300
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Fax | 941-923-1453
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Provider Business Mailing Address
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Address Line | 11161 STATE ROAD 70 E UNIT 110
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-9407
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Country | US
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Telephone | 941-290-5400
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Fax | 941-289-2492
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME164493
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License Number State | FL
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